NPI | 1225567274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007272) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002256A) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2022-07-22 |